<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
		<div class="form-group">
				<label for="c-name" class="control-label col-xs-12 col-sm-2">名称:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-name" data-rule="0" class="form-control" name="row[name]" type="text" value="" />
				</div>
		</div>
		<div class="form-group">
				<label for="c-acode" class="control-label col-xs-12 col-sm-2">电话区号:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-acode" data-rule="0" class="form-control" name="row[acode]" type="text" value="" />
				</div>
		</div>
		<div class="form-group">
				<label for="c-provinceid" class="control-label col-xs-12 col-sm-2">所属省份:</label>
				<div class="col-xs-12 col-sm-8">
						<select id="c-provinceid" data-rule="0" name="provinceid" data-relate="c-cid" dataurl="/cms.php/ajax/province" class="form-control selectpickernew">
						</select>
				</div>
		</div>
		<div class="form-group">
				<label for="c-cid" class="control-label col-xs-12 col-sm-2">所属城市:</label>
				<div class="col-xs-12 col-sm-8">
					<!-- dataurl="/cms.php/ajax/city" -->
						<select id="c-cid" data-rule="0" name="row[cid]"  class="form-control selectpickernew" datarelate="provinceid">
						</select>
				</div>
		</div>
		
		<div class="form-group">
				<label for="c-pcode" class="control-label col-xs-12 col-sm-2">邮编编码:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-pcode" data-rule="0" class="form-control" name="row[pcode]" type="text" value="" />
				</div>
		</div>
		<div class="form-group">
				<label for="c-scount" class="control-label col-xs-12 col-sm-2">商户数量:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-scount" data-rule="0" class="form-control" name="row[scount]" type="number" value="" />
				</div>
		</div>
		<div class="form-group">
				<label for="c-listorder" class="control-label col-xs-12 col-sm-2">顺序:</label>
				<div class="col-xs-12 col-sm-8">
						<input id="c-listorder" data-rule="integer(+)" class="form-control" name="row[listorder]" type="number" value="" />
				</div>
		</div>
						<div class="form-group">
						<label class="control-label col-xs-12 col-sm-2"></label>
						<div class="col-xs-12 col-sm-8">
								<button type="submit" class="btn btn-success btn-embossed">确定</button>
								<button type="reset" class="btn btn-default btn-embossed">重置</button>
						</div>
				</div>
		</form>